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This editorial highlights the systemic nature of post-traumatic hypercoagulability following major orthopaedic surgery and supports prolonged thromboprophylaxis to prevent both venous and arterial complications.
Thromboembolism and thromboprophylaxis in high risk surgery: facts and assumptions -a topic for emotions?Major orthopaedic surgery is associated with serious coagulation related complications.Perioperative cardio-respiratory and vascular dysfunction have regularly been reported in connection with hip replacement surgery and account for a mortality up to 0.5% [1,2].Organ failure syndromes, myocardial insufficiency and infarction, brain stroke and clinical venous thromboembolism may occur from the time of the trauma and until many weeks after and account for additionally 3-4% [1,[3][4][5][6][7].
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Dahl Oe (2000) studied this question.
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